首页|妊娠期合并症对子代围产期结局的影响

妊娠期合并症对子代围产期结局的影响

Study on the impact of pregnancy complications on the perinatal outcomes of offspring

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目的 探讨妊娠期合并症对子代围产期结局的影响.方法 选择 2022 年收治入院的妊娠期合并症患者 140 例纳入疾病组,另选取同期入院体检的妊娠期女性 140 例纳入参照组.比较 2 组孕妇子代的一般情况、围产期结局及并发症发生情况.结果 疾病组 140 例妊娠期合并症患者中高血压的发生率最高与参照组比较,疾病组子代出生体重及新生儿Apgar评分均明显更低,住院天数、NICU入住率及死亡率均明显更高(P<0.05);与参照组比较,疾病组子代巨大儿、低体重儿、新生儿窒息、早产儿、新生儿畸形、死胎、新生儿死亡等围产期不良结局发生率均明显更高(P<0.05);与参照组比较,疾病组新生儿黄疸、脑膜炎、肺炎、颅内出血、低血糖、败血症等并发症发生率均明显更高(P<0.05).结论 妊娠期合并症对胎儿的危害较大,可增加子代围产期不良结局及并发症发生风险,临床针对此类孕妇应密切监测孕妇各项指标变化,加强围生期管理.
Objective To analyze the impact of pregnancy complications on the perinatal outcomes of offspring.Methods In 2022,a total of 140 patients with pregnancy complications admitted were selected as the disease group,and 140 pregnant women admitted for physical examination during the same period were selected as the reference group.General data,perinatal outcomes,and incidence of complications between the two groups of pregnant women and their offspring were compared.Results Compared with those of the reference group,pregnant women in the disease group presented significantly higher incidence of hypertension,and their offspring presented significantly lower birth weight,Apgar score,longer length of stay and higher rate of transferring in the neonatal intensive care unit(NICU)and mortality(P<0.05).Compared with that of the reference group,the incidence of adverse perinatal outcomes like macrosomia,low birth weight infants,neonatal asphyxia,premature infants,congenital abnormalities,stillbirth,and neonatal death in the disease group was significantly higher(P<0.05).Compared with that of the reference group,the incidence of complications like jaundice,meningitis,pneumonia,intracranial hemorrhage,hypoglycemia,and sepsis in the disease group was significantly higher(P<0.05).Conclusion Pregnancy complications pose a significant risk to the fetus that increase the risk of adverse perinatal outcomes and complications in offspring.Clinically,for such pregnant women,it is necessary to closely monitor changes in various indicators of pregnant women and strengthen perinatal management.

pregnancy complicationsoffspringperinatal outcomes

冯海芹、刘彩茹、张维一、马津津、杨丽萍

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056002 河北省邯郸市中心医院妇产科

妊娠期合并症 子代 围产期结局

邯郸市科学技术研究与发展计划项目

19422083009-9

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(2)
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